Organization
BROADDUS HOSPITAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA L GOULD (CEO)
(304) 457-8155
Entity
Organization
Contact information
Practice address
#1 HEALTH CARE DRIVE, PHILIPPI, WV 26416
(304) 457-1760
(304) 457-3781
Mailing address
#1 HEALTH CARE DRIVE, PHILIPPI, WV 26416
(304) 457-1760
(304) 457-3781
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002167002
—
WV
Enumeration date
10/03/2007
Last updated
07/09/2019
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